Individual
MYKAEL SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060
Mailing address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8232
(619) 542-4060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
95440868
CA
Other
Enumeration date
05/12/2025
Last updated
05/21/2026
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